Deep Lesions Research Articles

Resin infiltration for white spot lesions: An in vitro experimental trial.

To evaluate the aesthetic outcome by varying the duration allowed for infiltrant penetration when treating white spot lesions with resin infiltration. An in vitro, experimental randomised study. Artificially created white spot lesions (WSLs) were induced on 100 extracted anterior teeth (T1). Teeth were divided into enamel and dentine groups depending on the extent of the lesion and then randomly assigned into different treatment protocol groups: penetration times of 3, 6 and 9 min. Resin infiltration treatment was applied according to the treatment protocol assigned (T2). Samples were thermocycled for 10,000 cycles (1 clinical year) (T3). The samples from the 3-min enamel and dentine groups were then randomly assigned into either a repeat treatment or no additional treatment group (T4). Samples were then thermocycled for an additional 10,000 cycles (T5). Spectrophotometric analysis was measured colour change (ΔE) for all groups. Mean ΔE values equal to or greater than the critical value (3.7) indicate a detectable clinical difference in colour of the treated WSL when compared to before WSL formation. Mean ΔE values, for the enamel groups, were slightly above or significantly below the critical value, and for the dentine groups, were significantly above the critical value. Mean ΔE values within the enamel and dentine groups both demonstrated a downward trend with increasing time allowed for resin infiltrant penetration (P < 0.05). No significant mean ΔE difference (P = 0.53) was found between groups that received a single or repeat treatment. After the first thermocycling event, no significant difference in colour change was observed in all groups except for the deep dentine lesion treated for 3 min. There was a significant difference in colour change for all groups except the enamel group that received a single treatment following thermocycling after a single or repeat treatment. Increasing the resin infiltrant penetration time to at least 9 min is advised as the most optimised treatment protocol. Resin infiltration treatment should be done only once to treat a particular white spot lesion as subsequent treatment for the same lesion results in marginal colour improvement. The colour improvement of WSLs resulting from the resin infiltration treatment can be expected to last for at least 1 year. Resin infiltration treatment of shallow lesions with a single and optimised infiltration technique can be expected to last an additional year.

Deep learning-based cervical lesion segmentation in colposcopic images

Artificial intelligence assisted cancer detection has changed the ream of diagnosis precision. This study aims to propose a segmentation network using artificial intelligence for accurately segmenting the cervix region and acetowhite lesions in cervigram images, addressing the shortage of skilled colposcopists and streamlining the training process. A computational approach is employed to develop and train a deep learning model specifically tailored for cervix region and acetowhite lesion segmentation in cervigram images. A dataset acquired in collaboration with KIDWAI memorial cancer research institute is used for building the model. Cervigram images are collected for training and validation, and a deep learning architecture is constructed and trained using annotated datasets. The segmentation network based on efficientnet architecture and atrous spatial pyramid pooling is designed to accurately identify and delineate the target regions, with performance evaluation conducted using precision, accuracy, recall, dice score, and specificity metrics. The proposed segmentation network achieves a precision of 0.7387±0.1541, accuracy of 0.9291, recall of 0.7912±0.1439, dice score of 0.7431±0.1506, and specificity of 0.9589±0.0131, indicating its reliability and robustness in segmenting cervix regions and acetowhite lesions in cervigram images. This research demonstrates the feasibility and effectiveness of using artificial intelligence-based computational models for cervix region and acetowhite lesion segmentation in cervigram images. It provides a foundation for further investigations into classifying cervix malignancy using AI techniques, potentially enhancing early detection and treatment of cervical cancer while addressing the shortage of skilled professionals in the field

Single visit indirect pulp capping with Biodentine: clinical case report

Introduction. Dental caries is the most widespread dental disease worldwide; it affects population of different ages. If not treated promptly or addressed improperly, dental caries progresses in a deep cavity, with potential signs of pulp inflammation. The minimal invasive principles of treatment of deep carious lesions provide guidelines for the preservation of the dental pulp, techniques known as vital pulp therapies. Among these techniques, indirect pulp capping is a method that has shown high clinical rates of success over time, if performed properly. The applied bioactive dental material plays an important role. The aim of this clinical case report is to describe a clinical case of single-visit indirect pulp capping with Biodentine, along with the algorithm of diagnosis of the pulp health status and treatment used in deep caries lesion in a permanent tooth. Materials and methods. Description of a clinical case of a permanent upper molar with a deep carious lesion, treated by single-visit indirect pulp capping with Biodentine. Clinical and radiological methods of investigations were used; the patient was assessed after 3 and 6 months after the applied treatment. Results. The main complaint of sensitivity to sweet stimuli presented by the patient attenuated shortly after receiving the treatment. After 3 and 6 months, the tooth is asymptomatic; the clinical and radiological findings show no evidence of pulp inflammation. Conclusions. Biodentine showed successful results when used as a bioactive dental material for indirect pulp capping.

Complete versus incomplete caries removal procedures and their effects on dental pulp in primary teeth - An in vivo study.

Dental caries results from an ecologic shift within the dental biofilm from a balanced population of microorganisms to an acidogenic, aciduric, and cariogenic microbiological population developed and maintained by frequent consumption of fermentable dietary carbohydrates. Total caries removal (TCR) of deep lesion may result in pulpal exposure requiring more invasive treatment. Hence, current pediatric dentistry has shifted to minimally invasive treatment that avoids more complex, time-consuming procedure, and the child's discomfort. The aim of this study is to evaluate and compare clinical performance and radiographic changes after complete and incomplete caries removal procedures. The study was conducted on 60 primary molars in children aged 6-9 years. Selected 60 primary molars were randomly divided into two groups. Group 1 (PCR): infected dentin was removed, while the affected dentin was maintained on the pulpal wall. Group 2 (TCR): both infected and affected dentin were removed through low-speed carbide bur and hand excavator. Teeth were evaluated at 4 and 6 months clinically and radiographically. The proportion was compared using Fisher's exact test. The Statistical Package for the Social Sciences version 21 was used for analysis. The level of significance was kept at 5%. The clinical and radiographic success rates of ICR and CCR in primary teeth with deep carious lesions were high and did not differ significantly, indicating that the retention of carious dentin does not interfere with pulp vitality. Thus, ICR is a reliable minimally invasive approach that might replace the CCR in primary teeth when correctly indicated.

Dual Inversion Recovery Magnetic Resonance Imaging's Diagnostic Value for Estimating the Overall Load of Multiple Sclerosis Lesions and its Anatomical Distribution

B Background: In young adults, multiple sclerosis is a prevalent chronic inflammatory demyelinating condition. It is characterized by white matter affection, but many individuals also have significant gray matter involvement. A double inversion recovery pulse pattern was recently proposed to improve the detectability of multiple sclerosis lesions. Objectives: To evaluate the diagnostic value of double inversion recovery sequence in the detection of cortical and white matter multiple sclerosis plaques in different brain anatomical locations. Subjects and methods: A total of 37 patients with an established diagnosis of multiple sclerosis were included in this cross-sectional study. Brain MRI was done using double inversion recovery, T2 and FLAIR sequences. The number of lesions was counted and compared in the three sequences. Results: Dual Inversion Recovery sequence was highly significant and superior to both T2 and FLAIR sequences (P &lt; 0.001) in depicting the lesions regardless of anatomical distribution. Dual Inversion Recovery was significantly superior to T2 (P =&lt;0.001) and FLAIR (P =&lt;0.001) in detecting lesions in cortical and juxtacortical. However, Dual Inversion Recovery shows less periventricular and deep white matter lesions in comparison to T2 and FLAIR sequences. Conclusion: The Dual Inversion Recovery sequence detected more multiple sclerosis lesions in cortical, subcortical and infratentorial than the traditional T2W and FLAIR sequences. It also demonstrated greater delineation between the white matter, grey matter, and multiple sclerosis lesions, which became more easily visualized.

Efficacy and safety of topical photodynamic therapy for genital warts: experience review in China

SignificanceHigh recurrence rate and adverse effects were common shortcomings in treatments for genital warts, and the inaccessibility of some deep meatal lesions remains an intractable problem. This study aims to evaluate the treatment of PDT for genital warts in comparison to alternative treatments. ApproachSeven databases and ClinicalTrials. gov were searched and seven randomized controlled trials were finally included. ResultsThere was no significant difference in clearance rate of urethral lesions between the PDT group and the CO2 laser therapy (CO2-LT group) (Odds ratio [OR] 0.676, 95% confidence interval [CI] 0.071–6.426, P = 0.734), but the overall clearance rate of all genital warts was slightly lower for PDT (OR 0.574, CI 0.335–0.985, P = 0.044). The recurrence rate after PDT was significantly lower than after CO2-LT (OR 0.318, CI 0.220–0.460, P < 0.001), and adverse effects were also slighter after PDT (OR 0.015, CI 0.003–0.074, P < 0.001). In addition, a modification of parameters of light irradiation provides the potential to alleviate pain. This study shows that PDT is an effective treatment for genital warts with good tolerability and safety, especially for cavitary lesions. Some modified protocols probably have the potential to reduce adverse effects. ConclusionsIn all, this study demonstrates that PDT is a favorable treatment for genital warts with high efficacy, low recurrence rate and mild adverse effect, especially for urethral and other cavitary lesions. Besides, some modified protocols probably had the potential to reduce adverse effects, but still needed further investigation.

Nonproliferative diabetic retinopathy dataset(NDRD): A database for diabetic retinopathy screening research and deep learning evaluation.

In this article, we provide a database of nonproliferative diabetes retinopathy, which focuses on early diabetes retinopathy with hard exudation, and further explore its clinical application in disease recognition. We collect the photos of nonproliferative diabetes retinopathy taken by Optos Panoramic 200 laser scanning ophthalmoscope, filter out the pictures with poor quality, and label the hard exudative lesions in the images under the guidance of professional medical personnel. To validate the effectiveness of the datasets, five deep learning models are used to perform learning predictions on the datasets. Furthermore, we evaluate the performance of the model using evaluation metrics. Nonproliferative diabetes retinopathy is smaller than proliferative retinopathy and more difficult to identify. The existing segmentation models have poor lesion segmentation performance, while the intersection over union (IOU) value for deep lesion segmentation of models targeting small lesions can reach 66.12%, which is higher than ordinary lesion segmentation models, but there is still a lot of room for improvement. The segmentation of small hard exudative lesions is more challenging than that of large hard exudative lesions. More targeted datasets are needed for model training. Compared with the previous diabetes retina datasets, the NDRD dataset pays more attention to micro lesions.

Short-Wavelength Infrared Imaging of Infected and Affected Dentin.

Stains produced by bacteria or those found in blood and food byproducts accumulate in highly porous caries lesions. They can interfere with accurate diagnosis and the selective removal of carious tissue during cavity preparations. Short-wavelength infrared (SWIR) imaging studies have shown that stain molecules do not absorb light beyond 1200 nm. The objective of this study was to image affected and infected dentin atSWIR wavelengths. Sections of 3 mm thickness were cut from the extracted teeth with deep dentinal lesions. The sound (normal), affected (stained), and infected (demineralized) dentin on each section were examined with reflected light at wavelengths from 400 to 1700 nm, red and green fluorescence, and with optical coherence tomography (OCT). Microcomputed tomography (microCT) was used to measure the mineral density at each location investigated. Significant (p < 0.05) differences were observed in the reflected light intensity at 400-850 nm and for fluorescence between the sound, affected, and infected dentin. SWIR imaging did not show significant reductions in reflectivity for the affected and infected dentin. SWIR images may be valuable for monitoring the lateral spread of dentinal lesions on the occlusal surfaces of teeth.

Histopathological investigation and risk factors of Coccidiosis in camels (Camelus dromedarius), Algeria

Coccidiosis in dromedaries is an intestinal protozoan infection caused by apicomplexan parasites belonging to the genus Eimeria. A prospective examination was conducted at two slaughterhouses in southern Algeria. The primary objective of this investigation was to ascertain the prevalence of intestinal parasites in camels, elucidate the associated microscopic lesions, and identify the risk factors contributing to this infestation. In pursuit of this, we procured four segments of the intestines from 31 dromedarieas that appeared healthy and displayed no symptoms. Subsequently, these samples were collected, preserved, subjected to routine processing, and subsequently stained with haematoxylin and eosin (H&amp;E). Intestinal parasitic infection showed an incidence rate of 45.16% (14 out of 31). Specifically, two types of parasites were discerned in the intestinal specimens through microscopic examination, namely Eimeria (41.93%; 13 out of 31) (p-value = 0.046) and Taenia (3.22%; 1 out of 31) (p = 0.001). Eimeria cameli was observed in the ceacum (41.93%; 13 out of 31), jejunum (12.90%; 4 out of 31), and in one instance in the duodenum (3.22%; 1 out of 31). Furthermore, numerous development stages of coccidia were identified, including gamonts, schizonts and oocysts. Deep microscopic lesions attributed to Eimeria cameli were detected, such as enteritis, eosinophilic infiltration and inflammation. In addition, associated risk factors were identified. This study has furnished valuable insights into parasitic infestations affecting dromedaries, particularly Eimeria cameli. The molecular studies are needed to delineate the diverse variations within Eimeria strains. Effective parasite control strategies specific to dromedary camels need to be developed.

An in vitro assessment of the residual dentin after using three minimally invasive caries removal techniques

To evaluate the efficiency and effectiveness of three minimally invasive (MI) techniques in removing deep dentin carious lesions. Forty extracted carious molars were treated by conventional rotary excavation (control), chemomechanical caries removal agent (Brix 3000), ultrasonic abrasion (WOODPECKER, GUILIN, China); and Er, Cr: YSGG laser ablation (BIOLASE San Clemente, CA, USA). The assessments include; the excavation time, DIAGNOdent pen, Raman spectroscopy, Vickers microhardness, and scanning electron microscope combined with energy dispersive X-ray spectroscopy (SEM–EDX). The rotary method recorded the shortest excavation time (p < 0.001), Brix 3000 gel was the slowest. DIAGNOdent pen values ranged between 14 and 18 in the remaining dentin and laser-ablated surfaces recorded the lowest reading (p < 0.001). The Ca:P ratios of the remaining dentin were close to sound dentin after all excavation methods; however, it was higher in the ultrasonic technique (p < 0.05). The bur-excavated dentin showed higher phosphate and lower matrix contents with higher tissue hardness that was comparable to sound dentin indicating the non-selectiveness of this technique in removing the potentially repairable dentin tissue. In contrast, the MI techniques exhibited lower phosphate and higher organic contents associated with lower microhardness in the deeper dentin layers. This was associated with smooth residual dentin without smearing and patent dentinal tubules. This study supports the efficiency of using MI methods in caries removal as conservative alternatives to rotary excavation, providing a promising strategy for the clinical dental practice.

Prevalence of Bumble Foot Disease in Backyard Chickens in Qarabagh District of Kabul, Afghanistan

‌Bumble foot is a condition in which the feet and toes of birds (especially chickens) become inflamed and necrotic. The main causes of the disease are bacteria (Staphylococcus aureus, Pseudomonas spp, and Escherichia coli), fungi, or yeasts. Bumble foot disease was first reported in 1980 as a skin disease of broilers. Bumble foot is extremely important due to its high incidence and mortality rate. But in Afghanistan, there are no accurate statistics about the prevalence of bumble foot disease in backyard and broiler chickens, so the purpose of this research is to study the prevalence and identify different grades of bumble foot disease in backyard chickens in Qarabagh district of Kabul province. This research was conducted on 2025 backyard chickens in 18 villages of Qarabagh district. In this research, both a questionnaire and a visual assessment system were used. A 5-point scoring system was used for the visual assessment of Bumble Foot. Skin without lesion (grade 0), superficial lesion ≤ 0.5 cm (grade 1), superficial lesion &gt; 0.5 cm (grade 2), deep lesion &gt; 1.0 cm (grade 3), and one or more deeper lesions on the toe (grade 4). All data was gathered by a veterinarian using a random sampling method, and then analyzed by (MS Excel) and (SPSS statistical software Version 23). As a result of this research, it was found that 128 chickens were affected by bumble foot disease, with a prevalence rate of 6.3%. The results of this research show that the prevalence of bumble foot disease is higher in hens (62.5%) than in roosters (37.5). Among the 128 infected chickens, 5.4% were grade 0, 34.3% were grade 1 32.8% were grade 2, 21.8% were grade 3, and 5.4% were grade 4. The prevalence rate of bumble foot disease in backyard chickens was lower than in broiler chickens. Among the 128 infected chickens, most of them had moderate and severe disease.

Mineralization of Dentinal Lesions with Different Concentrations of Fluoride.

The present study aimed to investigate the relationship between fluoride concentration and mineral distribution within the dentinal lesion body. Remineralization of artificial deep dentinal lesions with various levels of fluoride was studied using a scanning electron microscope, microhardness tests, and polarized light microscope. Human molars were exposed to demineralization at pH 5.0 for 2 weeks. Then, they were divided into different groups for remineralization with different fluoride concentrations (0.1-10.0 ppm) for 1, 2, 3, and 4 weeks. The results indicated a proportional relationship between fluoride concentration and dentinal lesion remineralization from 0.1 to 10.0 ppm. In the present study, the formation of a well-remineralized surface layer inhibited remineralization at the lesion front. On the other hand, the lesion front remineralization was found to be independent of fluoride concentration. Our results stated that for effective remineralization of dentinal lesions to the innermost part, fluoride levels from 1.0 to 5.0 ppm have the highest efficiency.

Comparative Evaluation of a New Tricalcium Silicate Cement With Calcium Hydroxide as Direct Pulp Capping Agents: A Clinical Study.

Background and objectives Direct pulp capping (dPC) is a therapeutic process that involves the application of a protective chemical to an exposed pulp with the intent to facilitate the restoration and preservation of its vitality and function. Despite numerous proposed solutions, researchers have yet to find a dependable, non-absorbable bioactive pulp capping substance that constantly activates cellular healing processes, consequently preserving pulpal vitality over an extended period of time. The objective of this study was to assess and contrast the efficacy of a novel tricalcium silicate cement and calcium hydroxide in preserving the long-term health of the dental pulp following dPC using clinical and radiographic observations. Materials and methods A total of 60 individuals with symptoms of reversible pulpitis associated with deep carious lesions were chosen for dPC in the study. Two groups comprising 30 patients each underwent dPC using the novel tricalcium silicate cement (experimental group) and calcium hydroxide (control group) out of the total number of patients. A thin protective covering of self-curing glass ionomer base was applied on top of the capping material. The dentist provided instant permanent restoration employing direct posterior composite resin. Follow-up examinations were conducted three, six, nine, and 12 months after the procedure, during which assessments were performed using clinical and radiographic parameters. Results The minimum age of the study group was 16, and its maximum age was 34 (22.35 ± 2.3 years). The control group consisted of 12 males and 18 females, while the Biodentine group consisted of 13 males and 17 females. The age and gender distribution were determined to have insignificant statistical differences across the groups. The pain score exhibited statistical significance at both the three-month and six-month follow-up visits (p < 0.05). The pain score at the 12-month follow-up was 0.38 ± 0.52 in the case group and 0.42 ± 0.61 in the control group (p = 0.79). The average Periapical Index (PAI) score for the Dycal and Biodentin groups after the 12-month follow-up was 1.38 ± 0.97 and 1 ± 0.3, respectively. This difference was found to be statistically significant (p = 0.044). In addition, there was a statistically significant difference in the PAI score at the three-month, six-month, and nine-month follow-ups (p < 0.01). During the entirety of the follow-up duration, one individual in the Biodentine group had tenderness upon percussion, a negative reaction for pulp vitality, pulpal changes, and a widening of the periodontal space. Statistically significant differences were observed in pulpal changes and tenderness on percussion during the nine-month and 12-month follow-up periods (p < 0.05). After 12 months, the rate of success in the group treated with Dycal was 91.3%, while the success percentage in the group treated with Biodentine was 98.55%. This difference in outcomes was determined to be statistically significant (λ2 = 5.46; p = 0.019). Conclusion The study findings indicate that Biodentine, a novel tricalcium silicate cement, outperforms calcium hydroxide in preserving pulp vitality over the long term following dPC. The Biodentine group attained an overall success rate of 98.55%, whereas the Dycal group had a success rate of 91.3% following 12 months of subsequent follow-up visits.

Managing the deep carious lesion biomimetically without pulpal involvement

During the last 20 years, the restorative approach has evolved from the mechanical retention to the advanced adhesion. This transition was fostered by the development and the improvements in the adhesive materials and the increasing demand of the esthetics among the patients. Resultingly, Composites today have become the material of choice for both the anterior as well as posterior restorations. The Science, Principles and the techniques of advanced adhesive dentistry are known as biomimetic dentistry. The major goal of biomimetic dentistry is to preserve the vitality of the pulp and conserve maximum intact tooth structure. The management of deep carious lesions approaching a healthy pulp presents a significant challenge to a clinician. The traditional management of carious lesions dictates the removal of all the infected and affected dentin. Several studies call this approach into question. This article presents a systematic approach to manage the deep carious lesions in the vital teeth preserving its vitality &amp; conserving maximum intact tooth structure for the long term biomimetic function.

Utilization of 3D evaluation for assessing selective caries removal practice in pre-clinical dental students: a pilot study

BackgroundPracticing and assessment of selective caries removal techniques in dental students remain challenges in many dental schools. The aim of this study was to utilize a 3D assessment technique, within a designated acceptable range of deviation, to evaluate the tendency of dental students in performing selective caries removal (SCR). The correlation between 3D assessment results and the conventional rubric rated by an instructor was also determined.MethodsFifth-year dental students (n = 61) performed the SCR task on 3D-printed teeth containing simulated deep caries lesions in occlusal and proximal surfaces. One instructor assessed the results using a conventional analytic rubric. The excavated teeth were additionally evaluated using 3D analysis software with the designated acceptable range of deviations (± 0.5 mm) from the standard cavities. The average root mean square (RMS) value, representing the deviation between student-prepared cavities and the predefined standard cavities, was recorded. A tendency towards over-excavation was defined for RMS values > 0.5 mm, and towards under-excavation for RMS values < 0.5 mm.ResultsThe mean (min-max) of RMS was 0.27 (0.18–0.40) for occlusal and 0.29 (0.20–0.57)for proximal cavities. A tendency of dental students toward over-excavation was observed in both occlusal (74%) and proximal cavities (87%). There was a moderate negative correlation between the RMS values and the traditional rubric scores for both occlusal (R2 = 0.148, P = 0.002) and proximal cavities (R2 = 0.107, P = 0.010).ConclusionsThe 3D evaluation technique effectively revealed specific tendencies in dental students’ caries removal skills. The integration of computerized assessments with traditional methods could potentially assist the instructors in delivering more objective and specific feedback to students. Further research is encouraged to investigate the impact of this assessment technique on improving student performance in selective caries removal skills.

Comparative evaluation of hand and rotary file systems on dentinal microcrack formation during pulpectomy procedure in primary teeth: an in vitro study.

Pulpectomy can be used for the management of deep dentinal carious lesions in primary teeth which can be restored. Mechanical preparation of root canals can be performed using hand or NiTi rotary files. However, this may cause dentinal stress and consequently dentinal microcracks. Hence, the aim was comparative evaluation of hand and rotary file systems on dentinal microcrack formation during pulpectomy procedure in primary teeth. 60 extracted primary molar teeth were selected comprising of 80 root canals. Simple random sampling was used to divide root canals into four groups (n = 20): Group A-Hedstrom file, Group B-Pro AF Baby Gold rotary, Group C-ProTaper Next rotary, and Group D-unprepared group. Assessment was conducted on presence or absence of microcracks using Chi square test (p < 0.05). The total number of microcracks in Group A: one (5%), Group B: four (20%), Group C: nine (45%) and Group D: zero (0%) which was statistically significant (p = 0.002). At cervical third, the number of microcracks seen with Group A: one (5%), Group B: zero (0%), Group C: five (25%) and Group D: zero (0%) (p = 0.005). At the middle third, the number of microcracks seen in Group A: zero (0%), Group B: four (20%), Group C: four (20%) and Group D: zero (0%) (p = 0.029). The study concluded that dentinal microcracks are formed with both hand and rotary file systems in primary teeth. ProTaper Next showed significantly higher number of microcracks, followed by ProAF Baby Gold and H files.

Applied Deep learning approaches on canker effected leaves to enhance the detection of the disease using Image Embedding and Machine learning Techniques

Canker, a disease that causes considerable financial losses in the agricultural business, is a small deep lesion that is visible on the leaves of many plants, especially citrus/apple trees. Canker detection is critical for limiting its spread and minimizing harm. To address this issue, we describe a computer vision-based technique that detects Canker in citrus leaves using image embedding and machine learning (ML) algorithms. The major steps in our proposed model include image embedding, and machine learning model training and testing. We started with preprocessing and then used image embedding techniques like Inception V3 and VGG 16 to turn the ROIs into feature vectors that retained the relevant information associated with Canker leaf disease, using the feature vectors acquired from the embedding stage, we then train and evaluate various ML models such as support vector machines (SVM), Gradient Boosting, neural network, and K Nearest Neighbor. Our experimental results utilizing a citrus leaf picture dataset show that the proposed strategy works. With Inception V3 as the image embedder and neural network machine learning model we have obtained an accuracy of 95.6% which suggests that our approach is effective in canker identification. Our method skips traditional image processing techniques that rely on by hand features and produces results equivalent to cutting-edge methods that use deep learning models. Finally, our proposed method provides a dependable and efficient method for detecting Canker in leaves. Farmers and agricultural specialists can benefit greatly from early illness diagnosis and quick intervention to avoid disease spread as adoption of such methods can significantly reduce the losses incurred by farmers and improve the quality of agricultural produce.

Success Rates of Antibiotic Sterilization, Indirect Pulp Treatment, and Pulpotomy in the Management of Primary Teeth with Deep Carious Lesions.

A new concept of antibiotic sterilization has come into existence which can be used to sterilize the demineralized portion of the teeth with minimal or ultraconservative excavation of caries in deep dentinal carious lesions as an alternative for indirect pulp therapy (IPT) and pulpotomy to avoid further complications. This study was undertaken to compare the success rates of antibiotic sterilization, indirect pulp treatment, and pulpotomy in the management of primary teeth with deep carious lesion. Ninety teeth involving deep carious lesions approaching pulp in primary molars were selected and randomly divided into three groups containing 30 teeth. Group I was treated with antibiotic sterilization using 3Mix-MP paste, group II was treated with indirect pulp treatment using calcium hydroxide, and group III was treated with conventional pulpotomy using 15.5% ferric sulfate (FS) solution. Clinical and radiographic analysis of all three groups was performed at 1, 3, 6, 9, and 12 months to evaluate the success of treatment procedures using predetermined criteria. Pearson's Chi-squared test and McNemar test were used for statistical analysis. At the end of the 12-month follow-up period, the overall clinical and radiographic success was determined to be 96.3% for group I, 100% for group II, and 96.4% for group III. There were no statistically significant differences observed between the success of three groups, suggesting that either of the procedures can be adopted for the management of deep carious lesions approaching pulp in primary teeth. Antibiotic sterilization can be introduced as a newer modality in the management of deep carious lesions approaching pulp in primary teeth which is ultraconservative in nature and reduces the risk of pulp exposure in comparison with indirect pulp treatment and pulpotomy procedures. Saxena D, Garg N, Pathivada L, et al. Success Rates of Antibiotic Sterilization, Indirect Pulp Treatment, and Pulpotomy in the Management of Primary Teeth with Deep Carious Lesions. Int J Clin Pediatr Dent 2024;17(3):237-242.

Biodentine™ as a temporary filling in deep carious lesions in permanent teeth: a prospective observational 33-month follow-up study.

The study aimed to evaluate temporary fillings using Biodentine™ in asymptomatic deep carious lesions after 12, 24, and 36months in school children from the remote village of Kerung, Nepal. From November 2018 to November 2019, 91 temporary fillings were placed using Biodentine™ (a hydraulic calcium silicate cement) in permanent molars with deep carious lesions of schoolchildren in the remote district of Kerung, Nepal. These restorations were performed after selective caries removal in a non-dental setting with hand instruments and cotton roll isolation, as electric motors and saliva ejection systems were unavailable. In total, 78 single-surface and 13 multi-surface fillings were placed. Clinical and radiographic follow-up periods encompassed 12, 21, and 33months, respectively. After 12months, all single-surface fillings (100%) survived, whilst all multi-surface fillings were partially or entirely lost. The survival rate of single-surface restorations after 21 and 33months was 67.6% and 50%, respectively. Radiographically, no pathology was observed. This study showed that Biodentine could be used in deep carious lesions as a temporary filling in single-surface lesions for at least up to 1year and in a substantial number of cases for up to 21 and 33months.

Surgical treatments for endometriosis

Complete resection of scattered superficial lesions can be paradoxically more complex. If the endometriosis is ovarian, priority should be given to preserving the oocyte capital, and ovarian function should be assessed in patients of childbearing age who wish to become pregnant, prior to treatment by alcoholization of the cyst, abrasion of its contents by laser or plasma energy, or even cystectomy. Laparoscopic resection is recommended in cases of deep endometriosis. After a thorough clinical examination and precise imaging, deep lesions are treated by resection and shaving in the case of digestive or ureteral localizations, or even by discoid resection or digestive anastomosis resection with or without stoma, depending on fistula risk criteria. The aim is to reduce pain and functional consequences, while preserving ovarian function to improve pregnancy rates.